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Blood Test To Monitor A Specific Medication Level

Vermont rates for HCPCS 80175

This blood test measures the level of a specific medication in the body. It is used to make sure the amount of the drug in a person's system is within a safe and effective range.

Rates data updated October 2026.

How much does Blood Test To Monitor A Specific Medication Level cost?

$20.89

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $162 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16.60$9.77 to $22.39
FacilityA hospital or hospital-owned outpatient department$162$162 to $162

How much rates vary

Facilitymedian $162 · 10th to 90th $22 to $191Professionalmedian $17 · 10th to 90th $8 to $22
$10$20$50$100$200facility $162professional $17

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$169.82
Typical High
$229.09
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$18.20
Typical High
$20.89
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
United
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$10.96
Typical High
$27.54

Where Vermont sits

The same service costs 4.2 times more in Alaska than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 5th of 51

$20.89

AK $36.31GA $8.71

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.